HomeMy WebLinkAboutMortgage_Lashbrook°'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
�__ FOR DEDUCTION FROM ASSESSED VALUATION �� �
SYale Fortn 43709 (R8l 2O7) �
�' ,.,, � Presmbed by Department of Local Govemment Finance
INS7RUCT10NS: � A�t� Mark
To be filed in person or by mad wifh the CountyAuditor o/ the county where fhe proper(y is bwted. 9 Z ��8
Fdo�g Dates: 1 J Real Property: During the 12 months be%re June 77 W the year the deduc6on is to be eRective. ._.,
2) Mobi7e Homes assessed under IC 6-7.7-7: Between January 75 and Maich 2 of the year the deducUon is fo be �
See reverse side la additional instructions and quali�icafions. �
GIBSONCOIiNrv ���„�r,._
Applicairt(owner�mn uyer-see�sMCff�mrev �
DisUiC KeynumberQ/legaldesai=
`� o• O
d rdue of �eal poperty as of March 1, aa2n1 year Mor�g�
arten
If ro what is his I trer exact share M interest?
If� m record is d'Aierenl ihan Ihal of applican4 indiple 6elow:
Name of mortgagee or mmaU seller �
Address of rtartgagee a mntracl seller (number and streef. dty, sf
Name of assig�e or other awner w hdder of moAga9e
Atldress
rity, sfafe. and ZIP wtlel
Jce. � �� ��
�W�c • /I 1 v�+�+
I ConiraU iMe6ledness unpaid as of March 1,
If awned wM someane al}
aMZ ode) `
ovm property in anY olha �
'�' Dra�ti-erN a��-/�G
❑Yes ❑ No 3
. . , . .� ...... —
Cardi'O.
Deduction approveA in the amount of: '''••-�
zo_2� p� C, �� ��G�%, ov �
Siqnature af Counry
Record
19Ihe appfinnl ihe
❑ Yes � No
spouse,
�s Ihe property in questim:
❑ Real Prooertv ❑ Modle Hwne (IC G7.
Zo
uested on prapeM
❑Yes ❑No
zo
1/ We certify under the penalty of perjury that ihe above and foregoing infortnation is true and corted and tliat tl�e applicants was / were a resident af
Indiana and owner of the afwementioned property on March 7, 20
� e(o s M1dl name) Date (mmth, daY. Y��)
. ��.� ,/l. _
o�
of Nfarney or
M euthoraed pason (number aM sLeet cdy, sfate, aM LP oode)
�
(monN, tlay, yea�